Endovenous laser ablation with tulip fibre on treatment of chronic venous disease

Year 2015, Volume: 7 Issue: 3, 1 - 4, 01.12.2015

Olgar Bayserke Deniz Dönmez Uğur Filizcan

Abstract

Aim: Tulip Fibre as a new aproach to Chronic Venous Insufficiency CVI , avoids venous and perivenous ulceration and perforation by preventing the lasers direct contact to the vein walls . The aim of our study is to show the efficiacy of the Endovenous Laser Ablation EVLA with Tulip Fibre in CVI. Methods: Between March 2012 and June 2012, 70 patients with the grade 4 vena saphena magna reflux were included to the study and Endovenous Laser Ablation with Tulip Fibre was applied. Patients were checked twice after the operation once for ecchymosis, pain , ulcer, thrombophlebitis and deep vein thrombosis DVT at the end of the first week and second at the end of the sixth month for CVI with doppler ultrasonography. Preoperative and postoperative colored doppler ultrasonography was performed by the same radiologist. Result: None of the patients had ecchymosis , ulceration and infection , in one of the patients pain without need of an analgesic was reported . DVT was not reported. In one of the patients at the end of the six months Vena Saphena Magna was reported as not obliterated enough. Conclusion: Endovenous Laser Ablation EVLA with Tulip Fiber in CVI is a safe and effective treatment method.

Keywords

Endovenous laser ablation, tulip fibre, chronic venous insufficiency

Kronik venöz yetersizlik tedavisinde lale uçlu fiber ile endovenöz lazer ablasyon

Abstract

Amaç: Kronik venöz yetmezlikte KVY yeni bir yaklaşım olan lale uçlu fiber ven duvarı ile direkt teması önleyerek venöz ve perivenöz ülser ve perforasyonu engeller. Çalışmamızın amacı KVY’de lale uçlu fiberle endovenöz laser ablasyonun etkilerini göstermektir. Metod: Mart 2014 ve Haziran 2014 tarihleri arasındaki grade 4 vena safena manga reflusu olan 70 hasta çalışmaya dahil edildi ve lale fiberle endovenous laser ablasyon uygulandı. Hastalar birinci haftanın sonunda ağrı ekimoz ülser tromboflebit ve derin ven trombozu için ve altıncı ayın sonunda KVY için Doppler ultrasonografi ile kontrol edildi. Preoperatif ve postoperatif renkli Doppler ultrasonografi aynı radyolog tarafından uygulandı. Bulgular: Hastaların hiçbirinde ekimoz ülser ve enfeksiyon yoktu, bir hastada analjezik ihtiyacı olmayan ağrı bildirildi. DVT bildirilmedi. Altıncı ayın sonunda bir hastada vena safena manganın yeterince oblitere olmadığı saptandı. Sonuç: Lale uçlu fiber ile endovenöz lazer ablasyon kronik venöz yetmezlik tedavisinde güvenli ve etkin bir yöntemdir.

Keywords

endovenöz lazer ablasyon, lale fiber, kronik venöz yetmezlik

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